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Pain Associated With Cesarean Delivery Skin Closure: A Randomized Controlled Trial

Mackeen, A.D.; Khalifeh, A.; Fleisher, J.; Han, C.; Leiby, B.; Berghella, V.

doi: 10.1097/01.aoa.0000489493.57843.27
Anesthesia Analgesia: Postoperative Analgesia

(Obstet Gynecol. 2015;126:702–707)

Cesarean delivery is typically performed by a suprapubic low-transverse skin incision, which is closed with the placement of either a continuous absorbable suture or interrupted staples. Studies that have examined pain associated with suture closure compared with staple closure are varied and limited. The authors of the present study thereby compared patient-reported pain and pain medication use associated with these 2 forms of skin closure for cesarean delivery. This study was a secondary analysis of a prospective, multicenter, randomized clinical trial with 746 pregnant women undergoing either primary or repeat cesarean delivery. The primary outcome of the initial study was the incidence of wound complications associated with closure type; the primary analysis found that suture closure lowered the rate of wound complications.

Department of Obstetrics and Gynecology, Geisinger Health System, Danville, PA

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